Eyes and respiratory system are at high risk - scene safety first – Remove contaminated clothing, jewelry - Brush off any dry chemical on skin - Irrigate f water
o Avoid contaminating unaffected areas with runoff
• Treat as thermal burn
Oropharyngeal Airway
Indications: Unresposive pts without gag reflex
Contraindications: Consious pts or any pt with gag reflec
Sizing - mouth to earlob
parasympathetic nervous system
exerts control over digestive functions
Intracerebral Hemorrhage
•
Bleeding within brain tissue
• Pts can deteriorate rapidly
• High mortality rate
cardiac tamponade
fluid accumulates within the pericardial sac and compresses the heart S+S (JVD, narrowing pulse pressure, hypotension)
Thermal Burns
heat from water, steam or fire - Stop burning with moist sterile burn sheet until skin is no longer hot to touch - Replace with dry sterile burn sheet reduce risk of hypothermia infection, Remove clothing that trap heat +Jewelry – massive swelling
• Avulsion
flap of skin being torn partially or completely loose
Hypertension (High BP)
– systolic greater then 140 mmHG and a Diastoluc above 90 mmHG
• Hypertensive Crisis – Systolic over 160 and diastolic over 94
o Pt might have associated symptoms or asymptomatic
o Asymptomatic pts should be evaluated by a physician
• S+Sx:Headache,
Intercranial pressure
rise in systolic blood pressure, widened pulse pressures, bradycardia, irregular breathing, heart rate increase, breathing shallow, apnea will occur, and blood pressure will begin to fall. agonal rhythm followed by respiratory arrest and cardiac arrest.
Abruptio Placenta
Premature separation of placenta from the uterine wall
O2 and nutrients to fetus is compromised
Maternal blood loss can be severe
Fetus will not survive a complete abruption
Painful vaginal bleeding in 3rd trimester
Assess S+S of shock
